Ke haʻi aku kāu kauka iā ʻoe e pono ʻoe e hana i ke ʻoki ʻana i ka colon, he mea maʻamau ke manaʻo nui i ka makaʻu a me ka hopohopo. Ke lohe ʻoe i kahi inoa e like me "proctocolectomy," hiki ke ʻike ʻia he mea paʻakikī loa. Akā, mai hopohopo. He ʻoki ola kēia e hiki ke kōkua iā ʻoe e ola i kahi ola maikaʻi aʻe ma ka hōʻoluʻolu ʻana i kāu mau hōʻailona o kēia manawa. E kamaʻilio mākou e pili ana i nā mea āpau ma ke ʻano maʻalahi hiki iā ʻoe ke hoʻomaopopo.
He aha maoli ka Proctocolectomy?
I ka ʻōlelo maʻalahi, ʻo ka proctocolectomy ka wehe ʻana i kāu kolona a me ka ʻāpana hope loa o kāu rectum.
E wehewehe iki kākou i kēia. ʻO ka ʻōpū nui kahi ʻāpana lōʻihi e like me ka paipu o kā mākou ʻōnaehana hoʻoheheʻe. He ʻekolu ona ʻāpana nui:
1. Kolonā: ʻO kēia ka ʻāpana nui loa. Hoʻopili ia i ka wai mai nā huahana ʻōpala i koe mai ka meaʻai a mākou e ʻai ai a hoʻolilo iā lākou i ʻano paʻa, i kapa ʻia he ʻōpala.
2. Rectum: ʻO kēia ka ʻāpana pōkole o ka rectum e hahai ana i ka colon. ʻO ia kahi e mālama ʻia ai ka ʻōpala no kekahi manawa ma mua o ka hoʻokuʻu ʻia ʻana.
3. Anus: ʻO ka puka e puka ai ka ʻōpala mai ke kino.
No laila, i loko o kahi proctocolectomy, ua wehe ʻia ka kolona a me ka rectum, a i ʻole kekahi hapa o lākou. ʻO "Procto" ke ʻano o ka rectum. ʻO "Colectomy" ke ʻano o ka wehe ʻana i ka kolona.
No ke aha ʻoe e pono ai e hana i kēia ʻano ʻoki kino?
Aia kekahi mau kumu e hana ʻia ai kēlā ʻoki kino nui. ʻO ke kumu nui, ʻo ka maʻi i loko o ka ʻōpū e pale ai i kēlā ʻāpana o ke kino mai ka hana pono ʻana a i ʻole he mea hoʻoweliweli ke ola o ka maʻi.
| Kūlana olakino | He wehewehe maʻalahi |
|---|---|
| Nā maʻi ʻōpū mumū | Inā ua hoʻomau ʻia ka ʻeha a me ka mumū o loko o ka ʻōpū ma muli o nā kūlana e like me ka Ulcerative Colitis a me ka maʻi ʻo Crohn , pono paha ke ʻoki kino inā ʻaʻole hiki ke hoʻomalu ʻia ke kūlana me ka lāʻau lapaʻau. |
| ʻO ke kanesa colorectal a me nā kūlana precancerous | No ka hoʻōki ʻana i ka laha ʻana o nā hunaola kanesa kolona a i ʻole ma nā kūlana e like me Familial Adenomatous Polyposis (FAP) , he ʻano hoʻoilina ia e hoʻoulu ai i nā haneli o nā polyp i ʻoi aku ka nui o ka lilo ʻana i maʻi kanesa. |
| Nā kumu ʻē aʻe | Nā pilikia e like me ka make ʻana o ka ʻiʻo ʻōpū ma muli o ka nalowale o ke koko (ischemia), ka paʻa ʻana o ka ʻōpū, nā ʻeha nui i ka ʻōpū, a i ʻole diverticulitis . |
Pehea ʻoe e hoʻokahe ai ma hope o ke ʻoki kino?
ʻO kēia ka nīnau nui loa a ka poʻe he nui. Ke wehe ʻia ka colon a me ka rectum, nalowale ke ala maʻamau no ka puka ʻana o ka ʻōpala. Pehea ʻoe e hoʻokahe ai? Aia ka pane i kēia ma ke ʻano o ka proctocolectomy āu e hana ai. Na kāu kauka e hoʻoholo i ke ʻano kūpono loa e pili ana i kou kūlana olakino.
Aia kekahi mau ʻano hana nui:
1. Ke kaʻina hana ileostomy
ʻO kēia ka hoʻopili ʻana i ka ʻāpana hope loa o kou ʻōpū liʻiliʻi, i kapa ʻia ʻo ka ileum, i kahi puka liʻiliʻi (stoma) i hana ʻia ma ka ʻili o kou ʻōpū. A laila hoʻopili ʻia kahi ʻeke ostomy i ka puka e hōʻiliʻili i ka ʻōpala. Hiki i kēia ke mau loa a i ʻole ka manawa pōkole . Hana ʻia ka manawa pōkole a hiki i ka ho'ōla ʻana o kou kino. Hiki ke hoʻololi ʻia kēia ma hope me kahi ʻoki kino ʻē aʻe.
2. ʻEke Ileoanal (hana ʻana i kahi ʻeke kūloko)
He hana hoihoi loa kēia. Ua kapa ʻia hoʻi he Restorative Proctocolectomy. Lawe ʻia kahi ʻāpana o kou ʻōpū liʻiliʻi (ileum) a hana ʻia kahi ʻeke liʻiliʻi mai ia mea. E noʻonoʻo iā ia he ʻāpana hou o kou kino e hiki ke hoʻopaʻa i kou ʻōpala no kekahi manawa, e like me kou rectum. A laila, hoʻopili hou ʻia ka ʻeke i kou anus. Ma hope o kēia hana, hiki iā ʻoe ke hele i ka lua a hoʻokahe maʻamau ma hope o kekahi manawa. ʻO ke kaʻina hana maʻamau no kēia ua kapa ʻia he J-pouch .
3. Proctocolectomy Subtotal (e mālama ana i kahi ʻāpana)
Ma kēia, waiho ʻia kekahi ʻāpana o ka ʻōpū nui. Inā hiki ke hana pēlā, hiki ke hoʻopili hou ʻia ke koena o ka ʻōpū i ka anus a i ʻole ke koena o ka rectum (anastomosis). Eia nō naʻe, i kekahi manawa, pono e hana ʻia kahi puka manawa pōkole ma ka ʻōpū a hoʻokomo ʻia kahi ʻeke noho (colostomy) a hiki i ka wā e hoʻōla ai ke kahua pili.
ʻO ka mea nui loa, e kūkākūkā kāu kauka me ʻoe i kahi o kēia mau ʻano hana kūpono loa iā ʻoe. No laila, e kūkākūkā i nā nīnau a hopohopo paha āu me kāu kauka.
He aha ka mea e hana ʻia ma mua, i ka wā, a ma hope o ke ʻoki kino
Ma mua o ke ʻoki kino
Inā ʻaʻole ia he ʻoki kino ulia pōpilikia, e loaʻa iā ʻoe ka manawa e hoʻomākaukau ai.
- He mau pule ma mua: E wehewehe ana kāu kauka i ke ʻoki kino iā ʻoe, kona mau pilikia, a me kāu mau koho.
- ʻElua pule ma mua: Inā ʻoe e lawe ana i nā lāʻau hoʻokahe koko, e haʻi ʻia ʻoe e hoʻōki a hōʻemi paha iā lākou. E aʻo ʻia ʻoe e ʻai i ka meaʻai kiʻekiʻe i ka fiber a inu i ka wai he nui.
- 24 mau hola ma mua: E hāʻawi ʻia ʻoe i kahi hoʻomākaukau ʻōpū e hoʻomaʻemaʻe loa i kou mau ʻōpū. E ʻōlelo ʻia hoʻi ʻoe e ʻai wale i nā wai no ka lā. Hiki ke hāʻawi ʻia iā ʻoe nā lāʻau antibiotic e pale aku i ka maʻi ma hope o ke ʻoki ʻana.
I ka wā o ke ʻoki kino
E hoʻomoe ʻia ʻoe ma lalo o ka anesthesia, no laila ʻaʻole ʻoe e manaʻo i kekahi mea. Hiki ke hana ʻia ke ʻoki kino ma nā ʻano nui ʻelua:
- ʻO ke ʻoki hāmama: Ke ʻano hana kuʻuna, i hana ʻia ma o kahi ʻoki nui ma ka ʻōpū.
- ʻO ke ʻoki Laparoscopic: ʻIke ʻia hoʻi ʻo ke ʻoki "keyhole", hana ʻia kēia ma ka hana ʻana i kekahi mau ʻoki liʻiliʻi ma ka ʻōpū a me ke komo ʻana i kahi kāmela a me nā mea hana palupalu ma o lākou. ʻO kēia ke kumu o ka hoʻōla wikiwiki ʻana a me ka emi ʻana o ka ʻeha.
A laila e wehe pono ke kauka lapaʻau i ka ʻāpana maʻi o ka ʻōpū a hana i nā kaʻina hana e pono ai (ileostomy, ʻeke, a i ʻole hoʻohui hou) e like me ka mea i kūkākūkā ʻia ma mua.
Ma hope o ke ʻoki kino
Pono ʻoe e noho ma ka haukapila no hoʻokahi pule. I loko o kēia manawa, e hoʻololi mālie ʻia ʻoe mai ka wai i nā meaʻai paʻa. Inā he ostomy (ʻeke) kou, e aʻo aku kahi kahu maʻi i aʻo kūikawā ʻia (WOCN - Wound Ostomy Continence Nurse) iā ʻoe pehea e hoʻohana ai a mālama i kou ʻili i ka maʻemaʻe.
He aha nā pilikia e hiki mai ana?
E like me nā hana ʻoki kino a pau, aia kekahi mau pilikia a me nā pilikia, akā ʻo ka hapa nui o ka manawa he manawa pōkole wale nō kēia.
| ʻAno o ka pilikia | Wehewehena |
|---|---|
| Nā pilikia maʻamau o ke ʻoki kino | Nā hopena i ka anesthesia, ke kahe koko ʻana o loko, nā maʻi, ke ālai ʻana o ka ʻōpū, a pēlā aku. |
| Nā pilikia e pili ana i ka ostomy (ʻeke) | Nā maʻi ʻili a puni ka stoma, e komo ana a puka mai ana paha mai ka stoma.Hiki nō hoʻi ke loaʻa kahi kūlana i kapa ʻia ʻo phantom rectum . ʻO kēia ka manaʻo o ka pono e hoʻokahe i ka wai ʻoiai ua wehe ʻia ka rectum. E emi ana kēia i ka hala ʻana o ka manawa. |
| Nā pilikia e pili ana i ka ʻeke Ileoanal (ʻeke kūloko) | ʻO ka pouchitis , ka leaka anastomotic, a me ka incontinence fecal mua. Hiki ke mālama ʻia ka nui o kēia mau mea. |
He aha nā pilikia e pono ai ke ʻike ʻana i ke kauka?
Ke hoʻi ʻoe i ka home ma hope o ke ʻoki ʻana, inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, e kāhea koke aku i kāu kauka a i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila.
- Pehu, ʻeha ʻōpū, nausea, a me ka paʻa ʻana o ka ʻōpū (he mau hōʻailona paha kēia o ke ālai ʻana o ka ʻōpū).
- ʻEha nui o ka ʻōpū, kuni, kahe ʻana o ka pehu mai ka ʻoki ʻia (he mau hōʻailona kēia o ka maʻi).
Mai poina, inā manaʻo ʻoe i kekahi mea ʻē, mai hoʻowahāwahā. ʻOi aku ka palekana o ka ʻimi ʻana i ke kōkua lapaʻau.
Leka Lawe-Home
- ʻOiai he hana nui ka proctocolectomy, hiki iā ia ke ho'ōla i nā kūlana hoʻoweliweli ola a hiki iā ʻoe ke ola i kahi ola ʻoluʻolu.
- Aia nā ʻano like ʻole e hoʻokahe ai i ka ʻōpū ma hope o ke ʻoki ʻana. Pono kekahi poʻe e noho me kahi ʻeke ostomy, aʻo kekahi poʻe he mau koho ʻē aʻe e hiki ai iā lākou ke hoʻokahe maʻamau. Na kāu kauka e hoʻoholo i ka mea maikaʻi loa iā ʻoe.
- He manawa ka lōʻihi e hoʻōla ai. Hiki iā ʻoe ke hoʻi i ke ola maʻamau i loko o kekahi mau mahina. He mea nui loa e hoʻomanawanui a hahai i nā ʻōlelo a kāu kauka i kēia manawa.
- E ʻoluʻolu e kūkākūkā i kou mau makaʻu, kānalua, a me nā nīnau me kāu kauka. E hāʻawi ia iā ʻoe i ka ikaika noʻonoʻo nui.
- ʻOiai hiki ke paʻakikī ka noho ʻana me kahi ʻeke ostomy i ka wā mua, ke maʻa ʻoe iā ia, hiki iā ʻoe ke hoʻomau i ka hana maʻamau. Nui nā mea hana a me nā ʻano hana i loaʻa i kēia lā e kōkua me kēia.
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